Provider Demographics
NPI:1033762968
Name:REASONS, MAGGIE (MSW LCSWA)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:
Last Name:REASONS
Suffix:
Gender:F
Credentials:MSW LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11843 RIDGEWAY PARK DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2989
Mailing Address - Country:US
Mailing Address - Phone:704-526-7795
Mailing Address - Fax:
Practice Address - Street 1:401 SCALEYBARK RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-2614
Practice Address - Country:US
Practice Address - Phone:980-237-9731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical